A Diagnostic Dilemma.
CLINICAL PRESENTATION
A 14-year-old male patient reported to the Department of Oral Medicine
and Radiology with a complaint of a chronic non-healing ulcer in the
lower lip. The patient reported that the lesion appeared 1 month back
and is slowly increasing in size since then. He was apparently healthy
and well-nourished without any Medical/ Dental history or parafunctional
habits. The patient did not recall any physical or chemical trauma to
the lip in the past before the appearance of this ulcer.
Clinical examination revealed a large, solitary ulcer on the right side
of the lower lip resulting in eversion of the lip. The ulcer was about
3.5cm×2.5cm in greatest dimension. Clinically the non-healing ulcer had
presented with a grayish-pink base covered by a white slough and
indurated margins (Figure 1) however, sub-mental lymph nodes were
palpable. The ulceration was mostly asymptomatic, but the patient had
noticed occasional bleeding that would occur either spontaneously or as
a consequence of any minor agitation to the area.